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NCCI’s 2018 Data Educational ProgramJanuary 30–February 2, 2018
Palm Beach County Convention CenterWest Palm Beach, FL
The Path to Data Excellence
Name and Address Reporting for POC
1
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Name and AddressReporting for POC
Presented by:Amy Royce and Jorge Acevedo
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Objective
To provide a clear understanding of how the correct linking of Name and Address records will increase your Proof of Coverage (POC) success rate.
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Agenda
Concept of Linking and Linking Data Elements
Name and Address Linking Examples
Broken Links
3
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
NameAddressEmployer
What Is an Employer?
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3
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Address
What Is an Employer?
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Name
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Concept of Linking
6
A&J Cafe
4
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Linking Name and Address
7
Name Link Counter Identifier
Name Link Identifier
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Concept of Linking
8
Name Link Counter Identifier
Name Link Identifier
5
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Name Link Reporting
9
Name Link Counter Identifier
Name Link Identifier
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Name Link Identifier Review
Located on Name and Address Records
Primary Insured is always 001
For each additional employer, increase the Name Link Identifier by 1 (e.g., 002)
Name Link Identifier must be the same for the name and address to be linked
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6
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Name Link Counter Identifier Review
Located on Name and Address Records
Accommodates policies with more than 999 unique employers
If there are more than 999 names on the policy, report 00 in this field for the first 999 names
Increase this field by 1 for the next 999 names
If 999 or fewer names are being reported, this field should be reported as 00
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Concept of Linking
12
A&J Cafe
7
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Name Nm Lnk ID Cont Seq Nbr
Jorge Phillie 001 001
Amy Noles 001 002
dba FanTastic Sports 001 003
1. Continuation of an entity name2. All operating in the same locations
Continuation Sequence Number
Continuation of a Name
13
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Continuation Sequence Number Review
Located on the Name Record only
Primary Insured Name is always 001
Identifies each name of an employer with multiple names
Only report 002 or greater when the employer has multiple names
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Concept of Linking
15
A&J Cafe
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
State Code Link
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A&J Treats Inc
A&J Cafe
9
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Address Types & State Code Link Review
Address Type 1
The mailing address (Primary Insured)
State Code Link does not apply but can be reported
Address Type 2
Physical locations of operations
State Code Link does not apply unless reporting an out of state address
Address Type 6
No specific location in jurisdiction
State Code Link Required on every Address Type 6 record
All three address types are considered employer addresses.
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Reporting Address Type 2
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The Roofing Co.1 Main St, Kingsport, TN
SCL 41
SCL 16
10
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Reporting Address Type 2
19
Address Type NLI SCL
1 Main St Kingsport TN 1 001 41
The Roofing Co.1 Main St, Kingsport, TN
1 Main St Kingsport TN 2 001 16
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Reporting Address Type 6
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Address Type NLI SCL
1 Main St Kingsport TN 1 001 41
The Roofing Co.1 Main St, Kingsport, TN
1 Main St Kingsport TN 2 001 16
6 001 45
* No physical location in VA but performs work there
11
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
State Code Link Review
Located on Address Record only Not required for Address Type 1 Not required for Address Type 2 when reporting a physical in‐state address
Required for Address Type 2 when reporting a physical out‐of‐state address
Required for Address Type 6 when reporting a No Physical Location
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Quiz Time!
Which Data Element should be unique for each distinct entity?
Which Data Element links the Employer to the State?
Which Data Element was created to support policies with more than 1,000 names?
Which Data Element is used to differentiate different names of a multi‐name entity?
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Name and Address Linking Examples
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
One Name—One Address
24
A & J Cafe
1 Main St, Boca Raton, FL 33487
Name
A & J Cafe
Address
1 Main St Boca Raton FL 33487
NLI CSN
001 001
NLI SLC
001 09
NLCI
00
NLCI
00
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Multiple Names—One Address
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Jorge Acevedo—001 001—1 Main St
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Continuation Sequence Number Review
When should you use the same Name Link Identifier with different Continuation Sequence Numbers?
1. Continuation of a Name
2. Operating at All the Same Location(s)
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14
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Continuation of a Name
27
Jorge Acevedo and Amy Royce dba A&J Cafe
Name NLI CSN
Jorge Acevedo 001 001
Amy Royce 001 002
dba A&J Cafe 001 003
Address NLI SCL
1 Main St Boca Raton FL 001 09
1 Main St, Boca Raton, FL 33487
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Employers Created
28
Name Address
Jorge Acevedo 1 Main St Boca Raton FL
Amy Royce 1 Main St Boca Raton FL
dba A&J Cafe 1 Main St Boca Raton FL
15
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Name Standardization Changes
For Policies Effective 01/01/2017 and later:
NCCI will no longer split names
For Policies Effective 12/31/2016 and earlier:
NCCI will continue to split names as it currently does
29
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Name Standardization Changes
Jorge Acevedo and Amy Royce dba A&J Cafe
Employers Created
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Name Address
Jorge Acevedo & Amy Royce dba A&J Cafe
1 Main St Boca Raton FL
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Not Operating at Same Locations
John Smith and Jane Jones dba Boca Boats
6 Main St, Boca Raton, FL 33487
John Smith and Jane Jones dba Miami Boats
8 North St, Miami, FL 33313
Note: Both employers have the same FEIN.
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program32
Name NLI CSN
John Smith 001 001
Jane Jones 001 002
dba Boca Boats 001 003
dba Miami Boats 001 004
Not Operating at Same Locations
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Employers Created
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Name Address
John Smith 6 Main St Boca Raton FL
Jane Jones 6 Main St Boca Raton FL
Boca Boats dba 6 Main St Boca Raton FL
Miami Boats dba 6 Main St Boca Raton FL
John Smith 8 North St Miami FL
Jane Jones 8 North St Miami FL
Boca Boats dba 8 North St Miami FL
Miami Boats dba 8 North St Miami FL
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Not Operating at Same Locations
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Name NLI CSN
John Smith 001 001
Jane Jones 001 002
dba Boca Boats 001 003
John Smith 002 001
Jane Jones 002 002
dba Miami Boats 002 003
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Not Operating at Same Locations
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Address NLI SCL
6 Main St Boca Raton FL 001 09
8 North St Miami FL 002 09
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Employer Records Created
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Name Address
Boca Boats dba 6 Main St Boca Raton FL
John Smith 6 Main St Boca Raton FL
Jane Jones 6 Main St Boca Raton FL
Miami Boats dba 8 North St Miami FL
John Smith 8 North St Miami FL
Jane Jones 8 North St Miami FL
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Name and Address Linking
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FL Beef Inc—001 001—Type 1
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
One Name—Multiple Locations
FL Beef Inc
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• 1 Main St, Boca Raton, FL
• 6 West St, Denver, CO
• Operating in Georgia (no physical location)
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
One Name—Multiple Locations
39
Name NLI CSN
FL Beef Inc 001 001
Address Type NLI SCL
1 Main St Boca Raton FL 1 001 09
6 West St Denver CO 2 001 05
6 001 10
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Employer Records Created
Name Street City State
FL Beef Inc 1 Main St Boca Raton FL
FL Beef Inc 6 West St Denver CO
FL Beef Inc GA
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Name and Address Linking Exercise 1
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
SCL 09
Linking Exercise #1
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SCL 43
SCL 10
Mama Mia
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Linking Exercise #1—How Is This?
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Name NLI CSN
Mama Mia Pizzeria 001 100
Address Type NLI SCL
1 Pepperoni St Palm Beach FL 1 001 09
6 Sausage St Orem UT 2 002 09
Various Locations 2 003 10
The policy has a named insured, Mama Mia Pizzeria with a Mailing address in Florida (SCL 09). The insured is also operating in Georgia (SCL 10) delivering pizzas, but does not have a physical location in the state. And there is also a second location in Utah (SCL 43). Circle all errors on the following records:
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Linking Exercise #1—Answer
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Name NLI CSN
Address Type NLI SCL
Populate the Name and Address fields with the correct data:
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Name and Address Linking
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Jorge Inc—001 001—1 Main St
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Name and Address Linking
46
Name NLI CSN
Jorge Inc 001 001
Amy Inc 001 002
dba J Shoes 001 003
Address Type NLI SCL
1 Main St Boca Raton FL 1 001 09
5 South St Miami FL 2 001 09
9 North St Orlando FL 2 001 09
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Employer Records Created
Name Street City State
Jorge Inc 1 Main St Boca Raton FL
Jorge Inc 5 South St Miami FL
Jorge Inc 9 North St Orlando FL
Amy Inc 1 Main St Boca Raton FL
Amy Inc 5 South St Miami FL
Amy Inc 9 North St Orlando FL
J Shoes dba 1 Main St Boca Raton FL
J Shoes dba 5 South St Miami FL
J Shoes dba 9 North St Orlando FL
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Name and Address Linking Exercise 2
25
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Linking Exercise #2
49
Jorge Antipasto, Inc dba TGI Jorges
1 Anchovy St, Boca Raton, FL
(Mailing Address)
6 Linguine St, Newport, RI
Amy Ravioli, Inc 1 Anchovy St, Boca Raton, FL Operating in New York with no physical location
in the state
Note: Jorge Antipasto, Inc is the Primary Insured
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Linking Exercise #2
50
Name NLI CSN
Address AddressType
NLI SCL
26
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Linking Exercise #2
How many Employer Records will be created per State?
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State # of Employers
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Broken Links
27
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Data Grade 7
Unlinked Names records will generate a Data Grade 7 error
Unlinked Address records will generate a Data Grade 7 error
These records will NOT be sent to the state
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Name Effective Date
One date for each unique name on the policy
Set when name is first reported on the policy
Cannot be changed Can be reset by deleting all occurrences of the name from the policy
Depending upon how you reported the names and addresses, this can affect several employers in several states.
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28
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Address Effective Date
One date for each unique standardized address on the policy
Set when address is first reported on the policy Cannot be changed Can be reset by deleting all occurrences of the address from the policy
This means:
Address Type 6 One effective date per state
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Pitfalls of Broken Links
56
NLI CSN Name Address
001 001 Jorge Inc 2 Main St
002 001 Amy Inc 5 South St
003 001 Jeff Inc 11 North St
004 001 Bob Inc 17 East St
005 001 Jane Inc 23 West St
006 001 Greg Inc 31 First Ave
29
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Pitfalls of Broken Links
NLI CSN Name Address
001 001 Jorge Inc 2 Main St
001 002 Amy Inc 5 South St
001 003 Jeff Inc 11 North St
001 004 Bob Inc 17 East St
001 005 Jane Inc 23 West St
001 006 Greg Inc 31 First Ave
57
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Pitfalls of Broken Links
58
Jorge Inc—2 Main St
Jorge Inc—2 Main St
Bob Inc—17 East St
Jane Inc—23 West St
Greg Inc—31 First AveJeff Inc—11 North St
Amy Inc—5 South St
Jorge Inc—5 South St
Amy Inc—11 North St
Jeff Inc—17 East St
Bob Inc—23 West St
Jane Inc—31 First Ave
Greg Inc—2 Main St
Jorge Inc—11 North StJorge Inc—17 East St
Jorge Inc—23 West St
Amy Inc—17 East St
Amy Inc—31 First Ave
Bob Inc—2 Main St
Amy Inc—2 Main St
Jeff Inc—2 Main StJeff Inc—5 South St
Jane Inc—5 South St
Jane Inc—11 North St
Greg Inc—5 South St
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Another Pitfall
59
Changing NLI from one transaction to another can lead to unexpected results.
Best Practice:
Report the same NLI throughout the life of the policy for each employer.
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Changing NLI Pitfall
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NLI CSN Name PCED PCXD
001 001 First Employer 000000 000000
002 001 Second Employer 000000 000000
003 001 Third Employer 000000 000000
NLI Type Street City ST SCL PCED PCXD
001 1 5 East St Boca Raton FL 09 000000 000000
001 6 39 000000 000000
002 6 39 000000 000000
003 6 39 000000 000000
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Changing NLI Pitfall
Policy Effective: 01/01/18
Changes to be reported:
Second Employer is being deleted midterm (effective 04/01/18)
A new employer is being added midterm (effective 07/01/18)
Operating in South Carolina (no physical location)
61
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Changing NLI Pitfall
62
NLI CSN Name PCED PCXD
001 001 First Employer 000000 000000
002 001 Second Employer 180401 180401
003 001 Third Employer 000000 000000
004 001 Fourth Employer 180701 000000
NLI Type Street City ST SCL PCED PCXD
001 1 5 East St Boca Raton FL 09 000000 000000
001 6 39 000000 000000
002 6 39 180401 180401
003 6 39 000000 000000
004 6 39 180701 000000
32
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Changing NLI Pitfall
63
NLI CSN Name PCED PCXD
001 001 First Employer 000000 000000
004 001 Second Employer 180401 180401
002 001 Third Employer 000000 000000
003 001 Fourth Employer 180701 000000
NLI Type Street City ST SCL PCED PCXD
001 1 5 East St Boca Raton FL 09 000000 000000
001 6 39 000000 000000
004 6 39 180401 180401
002 6 39 000000 000000
003 6 39 180701 000000
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Changing NLI Pitfall
Reminder:
What were we trying to do?
Delete Second Employer, Effective 04/01/18
Add Fourth Employer, Effective 07/01/18
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Flag NLI CSN Name NED NXD PCED PCXD
N 001 001 First Employer 01/01/18
N 002 001 Third Employer 01/01/18
N 003 001 Fourth Employer 07/01/18 07/01/18
Y 001 001 First Employer 01/01/18
Y 002 001 Second Employer 01/01/18 04/01/18 04/01/18
Y 003 001 Third Employer 01/01/18
Flag NLI CSN Name NED NXD PCED PCXD
N 001 001 First Employer 01/01/18
N 002 001 Second Employer 01/01/18
N 003 001 Third Employer 01/01/18
What NCCI Loads …
65
NLI CSN Name PCXD
004 001 Second Employer 04/01/18
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Flag NLI SCL Address AED AXD PCED PCXD
N 001 09 5 East St 01/01/18
N 001 39 01/01/18
N 002 39 01/01/18
N 003 39 07/01/18 07/01/18
Y 001 09 5 East St 01/01/18
Y 001 39 01/01/18 04/01/18 04/01/18
Y 002 39 01/01/18
Y 003 39 01/01/18
Flag NLI SCL Address AED AXD PCED PCXD
N 001 09 5 East St 01/01/18
N 001 39 01/01/18
N 002 39 01/01/18
N 003 39 01/01/18
What NCCI Loads …
66
NLI SCL Address PCXD
004 39 04/01/18
34
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
What the POC Process Generates …
67
Rec Type Name Address Triplicate
Trans Set Eff Dt
PC1 First Employer 5 East St 00/33/87 04/01/18
PC2 Second Employer DELETE
PC1 First Employer 5 East St 00/33/87 04/01/18
PC2 First Employer DELETE
PC1 First Employer 5 East St 00/31/87 01/01/18
PC2 First Employer ADD
PC1 First Employer 5 East St 00/31/87 07/01/18
PC2 Fourth Employer ADD
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Questions?
68
Presenter Biographies
Amy Royce, AU, AINS, joined NCCI 22 years ago and is currently a consultant in the Data Services Department of Data Resources. Her primary responsibilities include Proof of Coverage management and industry communication. She also represents NCCI on the International Association of Industrial Boards and Commissions as the POC Committee Chair.
Amy earned a bachelor’s in human resource management from Palm Beach Atlantic University in Florida as well as Associate of Commercial Underwriting (AU) and Associate in General Insurance (AINS) designations and is currently working on completing her Insurance Data Management Association (IDMA) certification.
Jorge Acevedo has been with NCCI since 2005. He is the Proof of Coverage lead data analyst on the Policy/Proof of Coverage Team in the Data Collection Department. Prior to joining Data Collection in 2007, he worked in the Experience Rating Department as an analyst.
Jorge’s professional background includes technical support for a major computer company and fraud detection for an Internet hosting company.
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved
POLICY & POC ACRONYM REFERENCE SHEET Data Elements Reported on WCPOLS—Carrier‐Generated NLI—Name Link Identifier NLCI—Name Link Counter Identifier CSN—Continuation Sequence Number SCL—State Code Link PED—Policy Effective Date PXD—Policy Expiration Date PCED—Policy Change Effective Date PCXD—Policy Change Expiration Date
Data Elements NOT Reported in WCPOLS—NCCI‐Generated NED—Name Effective Date AED—Address Effective Date NXD—Name Expiration Date AXD—Address Expiration Date SNN—Split‐Name Number
Codes Reported in Acknowledgment—POC & State Generated PC1—IAIABC POC Insured Record PC2—IAIABC POC Employer Record TA—Transaction Accepted TE—Transaction Accepted With Errors TR—Transaction Rejected
TransactionSubmission
Code
Transaction
Triplicate
POC
1.0
POC
2.1
POC
3.0
Assigned Risk Binder I 00‐04‐80 XPOC 1.0 ‐ Binder
POC 2.1 ‐ Coverage Notice/Binder ‐ some/all Employer locations within Jurisdiction
POC 3.0 ‐ POC Notice ‐ some or all employer locations within Jurisdiction
A 00‐05‐01 X X X
POC 1.0 ‐ Binder ‐ Insured has no physical location in jurisdiction
POC 2.1 ‐ Coverage Notice/Binder ‐ Insured has no Physical location within Jurisdiction
POC 3.0 ‐ POC Notice ‐ without location(s) within Jurisdiction
I 00‐05‐80 X X X
POC 1.0 ‐ Binder ‐ Named Employer(s) with no jurisdiction address
POC 2.1 ‐ Coverage Notice/Binder ‐ Employers with No Physical Address, but Operating within the
Jurisdiction
POC 3.0 ‐ POC Notice ‐ with no physical locations within jurisdiction but operating within the
Jurisdiction
EN/M 00‐05‐86 X X X
POC 1.0 ‐ New Policy
POC 2.1 ‐ New Policy ‐ all/some employer locations with locations
POC 3.0 ‐ New Policy ‐ some or all employer locations within Jurisdiction
A 00‐10‐01 X X X
POC 1.0 ‐ New Policy ‐ Insured has not physical location in jurisdiction
POC 2.1 ‐ New Policy ‐ Insured has no Physical Location within Jurisdiction
POC 3.0 ‐ New Policy ‐ Without location(s) within Jurisdiction
I 00‐10‐80 X X X
POC 1.0 ‐ New Policy ‐ Named Employer(s) with no jurisdiction address
POC 2.1 ‐ New Policy ‐ Employers with No Physical Address, but Operating within the Jurisdiction
POC 3.0 ‐ New Policy ‐ with no physical locations within the Jurisdiction but operating within the
Jurisdiction
EN/M 00‐10‐86 X X X
POC 1.0 ‐ Renew Policy
POC 2.1 ‐ Renewal ‐ all/some employer locations within Jurisdiction
POC 3.0 ‐ Renewal ‐ some or all employer locations within Jurisdiction
A 00‐20‐01 X X X
POC 1.0 ‐ Renew Policy ‐ Insured has no physical location in jurisdiction
POC 2.1 ‐ Renewal ‐ Insured has no Physical location with Jurisdiction
POC 3.0 ‐ Renewal ‐ without location(s) within Jurisdiction
I 00‐20‐80 X X X
POC 1.0 ‐ Renew Policy ‐ Named Employer(s) with no jurisdiction address
POC 2.1 ‐ Renewal Policy ‐ Employers with No Physical Address, but Operating within the Jurisdiction
POC 3.0 ‐ Renewal Policy ‐ with no physical locations within the Jurisdiction but operating within the
Jurisdiction
EN/M 00‐20‐86 X X X
POC 1.0 ‐ Add Jurisdiction
POC 2.1 ‐ Endorsement ‐ Notifying a New Jurisdiction when a New Location is added to Existing Policy
POC 3.0 ‐ Endorsement ‐ notifying a new Jurisdiction when a location is added to existing policy
A 00‐31‐72 X X X
POC 1.0 ‐ Add Jurisdiction with no State location
POC 2.1 ‐ Endorsement ‐ Notifying a New Jurisdiction when a New Employer with No jurisdiction
location is added to Existing Policy
POC 3.0 ‐ Endorsement ‐ notifying a new Jurisdiction when an employer with no Jurisdiction location is
added to existing policy
I 00‐31‐80 X X X
POC 1.0 ‐ Add Jurisdiction ‐ Named Employer(s) with no jurisdiction address
POC 2.1 ‐ Add New Employer ‐ Add (Employer Not in Jurisdiction)
POC 3.0 ‐ Endorsement ‐ notifying a new Jurisdiction when an employer with no physical location but
operating within the Jurisdiction is added to existing policy
EN/M 00‐31‐86 X X X
POC 1.0 ‐ Rewrite/Reissue Policy
POC 2.1 ‐ Rewrite/Reissue Policy ‐ Employer Locations within Jurisdiction
POC 3.0 ‐ Rewrite/Reissue Policy ‐ some or all employer locations within Jurisdiction
A 00‐50‐01 X X X
POC 1.0 ‐ Rewrite/Reissue Policy ‐ Insured has no physical location in Jurisdiction
POC 2.1 ‐ Rewrite/Reissue Policy ‐ Insured has No Physical Location within Jurisdiction
POC 3.0 ‐ Rewrite/Reissue Policy ‐ without location(s) within Jurisdiction
I 00‐50‐80 X X X
IAIABC Triplicate History by POC Format
Notification of Coverage
1
TransactionSubmission
Code
Transaction
Triplicate
POC
1.0
POC
2.1
POC
3.0
IAIABC Triplicate History by POC Format
POC 1.0 ‐ Rewrite/Reissue Policy ‐ Named Employer(s) with no jurisdiction address
POC 2.1 ‐ Rewrite/Reissue Policy ‐ Employers with No Physical Address, but Operating within the
Jurisdiction
POC 3.0 ‐ Rewrite/Reissue Policy ‐ with no physical locations within the Jurisdiction but operating
within the Jurisdiction
EN/M 00‐50‐86 X X X
POC 1.0 ‐ Add Location(s)
POC 2.1 ‐ Add New Employer ‐ Add ‐ (Location in Jurisdiction)
POC 3.0 ‐ Add Employer location within Jurisdiction
E/M 00‐31‐54 X X X
POC 1.0 ‐ Add Employer(s) with no jurisdiction address
POC 2.1 ‐ Add Employer ‐ Add (Employer not in Jurisdiction)
POC 3.0 ‐ Add New Employer with no Physical Location within Jurisdiction
E/M 00‐31‐87 X X X
POC 1.0 ‐ Include Corporate Officer/Partner/Sole Proprietor
POC 2.1 ‐ Submitting Corporate Officer/Partner/Sole Proprietor ‐ Inclusion
POC 3.0 ‐ Corporate Officer/Partner/Sole Proprietor ‐ Inclusion
I 00‐32‐67 X X X
POC 1.0 ‐ Exclude Corporate Officer/Partner/Sole Proprietor
POC 2.1 ‐ Submitting Corporate Officer/Partner/Sole Proprietor ‐ Exclusion
POC 3.0 ‐ Corporate Officer/Partner/Sole Proprietor ‐ Exclusion
I 00‐32‐68 X X X
POC 1.0 ‐ Change ‐ Change Legal Status, Change Insured Name, Change Governing Class Code, Change
Total Payroll, Change Insured Address, Change Telephone Number, Change Business Market, Change
Wrap Up Indicator, Change Assignment Date
POC 2.1 ‐ Change Insured Demographics
Legal Status, Insured Name, Governing Class, Total Payroll, Insured Address, Telephone Number,
Business Market, Wrap‐Up Indicator, Assignment Date, Employee Leasing Policy Identification,
Minimum Premium Policy Indicator
I 00‐32‐84 X X
Change Insured Demographics
Legal Status, Insured Name, Governing Class, Total Payroll, Insured Address, Telephone Number,
Business Market, Wrap‐Up Indicator, Assignment Date, Employee Leading Policy Identification,
Minimum Premium Policy Indicator, Losses Subject to Deductible Code, Basis of Deductible Calculation
Code, Insured Sate Premium, PEO or Client Company Code, Reason State was Added to the Policy Code
I04‐32‐84
05‐32‐84X
Change Prior Policy Number PI
04‐32‐75
05‐32‐75 X
Add new Insured FEIN PI04‐32‐76
05‐31‐76X
POC 1.0 ‐ Change Erroneous Insured FEIN
POC 2.1 ‐ Change Insured FEINPI
04‐33‐76
04‐32‐76X X
Change Insured FEIN PI04‐32‐76
05‐32‐76X
POC 1.0 ‐ Change Employer FEIN
POC 2.1 ‐ Change Employer FEIN ‐ Employer Locations within Jurisdiction
POC 3.0 ‐ Change Employer FEIN ‐ Employer locations within Jurisdiction
PE04‐32‐77
05‐32‐77X X X
POC 1.0 ‐ Change Employer UI
POC 2.1 ‐ Change Employer U/I ‐ Employer Locations within Jurisdiction
POC 3.0 ‐ Change Employer UI Number ‐ employer locations within Jurisdiction
PE04‐32‐78
05‐32‐78X X X
POC 1.0 ‐ Change ‐ Change Name ‐ all or any employer location, Change Address ‐ all or any Employer
location, Change SIC Code (Employer level), Change # of Employees (Employer level)
POC 2.1 ‐ Change Employer Demographics ‐ Employer Locations with Jurisdiction
Name, Address, SIC Code, Number of Employees
POC 3.0 ‐ Change Employer Demographics ‐ Employer location within Jurisdiction
Name, Address, Industry Code, Number of Employees, Legal Status of Employer, Name Type Code, PEO
or Client Company Code
PE04‐32‐85
05‐32‐85X X X
Addition of Coverage
Change of Existing of Coverage
2
TransactionSubmission
Code
Transaction
Triplicate
POC
1.0
POC
2.1
POC
3.0
IAIABC Triplicate History by POC Format
POC 2.1 ‐ Change Employer Demographics Employer with No Jurisdiction Location
Name, Address, SIC Code, Number of Employees
POC 3.0 ‐ Change Employer Demographics ‐ Employer with no Jurisdiction location
Name, Industry Code, Number of Employees, Legal Status of Employer, Name Type Code, PEO or Client
Company Code
PE04‐32‐94
05‐32‐94X X
POC 2.1 ‐ Change Employer U/I Number ‐ Employer with No Jurisdiction Location
POC 3.0 ‐ Change Employer UI Number ‐ employer with no Jurisdiction locationPE
04‐32‐95
05‐32‐95X X
POC 2.1 ‐ Change Employer FEIN ‐ Employer with No Jurisdiction Location
POC 3.0 ‐ Change Employer FEIN‐ employer with no physical location within Jurisdiction PE
04‐32‐96
05‐32‐96X X
Change Policy Number PI04‐32‐79
05‐32‐79X X
Change Policy Number PI04‐33‐79
05‐32‐79X
POC 1.0 ‐ Change Erroneous Effective Date
POC 2.1 ‐ Correct Erroneous Policy Effective DatePI
04‐32‐81
05‐32‐81X X
Change Policy Effective Date PI04‐33‐81
05‐32‐81X
POC 1.0 ‐ Change Erroneous Expiration Date
POC 2.1 ‐ Correct Erroneous Expiration DatePI
04‐32‐82
05‐32‐82X X
Change Policy Expiration Date PI04‐33‐82
05‐32‐82X
POC 1.0 ‐ Change Erroneous Carrier/Insurer FEIN
POC 2.1 ‐ Change Carrier/Insurer FEINPI
04‐32‐83
05‐32‐83X X
Change Carrier/Insurer FEIN PI04‐33‐83
05‐32‐83X
POC 1.0 ‐ Delete location(s)
POC 2.1 ‐ Delete Employer Locations within Jurisdiction
POC 3.0 ‐ Endorsement, Delete Location
E/M 00‐33‐56 X X X
POC 1.0 ‐ Delete Jurisdiction
POC 2.1 ‐ Delete Jurisdiction No Longer Covered by Carrier/Insurer
POC 3.0 ‐ Endorsement, Delete Jurisdiction
I 00‐33‐73 X X X
POC 2.1 ‐ Delete Employer with No Jurisdiction Location
POC 3.0 ‐ Delete Employer no Jurisdiction addressE/M 00‐33‐87 X X
Policy Cancelled By Carrier/Insurer ‐ Failure to Comply with Terms of Audit I 00‐41‐16 X
Policy Cancelled By Carrier/Insurer ‐ Cancelled at Request of Finance Company I 00‐41‐20 X
Policy Cancelled By Carrier/Insurer ‐ Failure to Submit Payroll Information I 00‐41‐23 XPOC 1.0 ‐ Cancelled By Carrier/Insurer ‐ Non Payment
POC 2.1 & POC 3.0 ‐ Policy Cancelled by Carrier/Insurer ‐ Non PaymentI 00‐41‐59 X X X
POC 1.0 ‐ Cancelled By Carrier/Insurer ‐ Underwriting Reason
POC 2.1 & POC 3.0 ‐ Policy Cancelled by Carrier/Insurer ‐ Underwriting DiscretionI 00‐41‐64 X X X
POC 1.0 ‐ Cancelled by Carrier/Insurer ‐ Revocation of Voluntary Market Acceptance
POC 2.1 & POC 3.0 ‐ Policy Cancelled by Carrier/Insurer ‐ Revocation of Voluntary Market AcceptanceI 00‐41‐66 X X X
POC 1.0 ‐ Cancelled By Carrier/Insurer ‐ Failure to Pay Deductible
POC 2.1 & POC 3.0 ‐ Policy Cancelled by Carrier/Insurer ‐ Failure to Pay DeductibleI 00‐41‐69 X X X
POC 1.0 ‐ Cancelled by Carrier/Insurer ‐ Misrepresentation of Information on Application
POC 2.1 & POC 3.0 ‐ Policy Cancelled by Carrier/Insurer ‐‐ Misrepresentation on ApplicationI 00‐41‐70 X X X
POC 1.0 ‐ Cancelled By Carrier/Insurer ‐ Rewrite/Reissue
POC 2.1 & POC 3.0 ‐ Policy Cancelled by Carrier/Insurer ‐Rewrite/ReissueI 00‐41‐71 X X X
POC 1.0 ‐ Cancelled By Insured ‐ Reason Unknown
POC 2.1 & POC 3.0 ‐ Policy Cancelled by Insured ‐ Reason UnknownI 00‐42‐01 X X X
Deletion of Coverage
Cancellation/Nonrenewal of Coverage
3
TransactionSubmission
Code
Transaction
Triplicate
POC
1.0
POC
2.1
POC
3.0
IAIABC Triplicate History by POC Format
POC 1.0 ‐ Cancelled By Insured ‐ Out of Business
POC 2.1 & POC 3.0 ‐ Policy Cancelled by Insured ‐ Out of BusinessI 00‐42‐45 X X X
POC 1.0 ‐ Cancelled by Insured ‐ Coverage Placed Elsewhere
POC 2.1 & POC 3.0 ‐ Policy Cancelled by Insured ‐ Coverage Placed ElsewhereI 00‐42‐60 X X X
POC 1.0 ‐ Cancelled By Insured ‐ Duplicate Coverage
POC 2.1 & POC 3.0 ‐ Policy Cancelled by Insured ‐ Duplicate CoverageI 00‐42‐61 X X X
POC 1.0 ‐ Cancelled by Insured ‐ Change of Ownership
POC 2.1 & POC 3.0 ‐ Policy Cancelled by Insured ‐ Ownership ChangeI 00‐42‐62 X X X
POC 1.0 ‐ Cancelled By Insured ‐ Business Sold
POC 2.1 ‐ Policy Cancelled by Insured ‐ Business SoldI 00‐42‐63 X X
POC 1.0 ‐ Cancelled by Insured ‐ No Employees/No Exposure/No Operations
POC 2.1 & POC 3.0 ‐ Policy Cancelled By Insured ‐ No Employees/No Exposure/No OperationsI 00‐42‐65 X X X
POC 1.0 ‐ Non‐Renewal of Policy By Insured ‐ Reason Unknown
POC 2.1 & POC 3.0 ‐ Policy Non Renewed by Insured ‐ Reason UnknownI 00‐60‐01 X X X
POC 1.0 ‐ Non‐Renewal of Policy By Insured ‐ Out of Business
POC 2.1 & POC 3.0 ‐ Policy Non Renewed by Insured ‐ Out of BusinessI 00‐60‐45 X X X
Policy Non Renewed by Carrier/Insurer ‐ Non Payment I 00‐60‐59 X X
POC 1.0 ‐ Non‐Renewal of Policy by Insured ‐ Coverage Placed Elsewhere
POC 2.1 & POC 3.0 ‐ Policy Non Renewed by Insured ‐ Coverage Placed ElsewhereI 00‐60‐60 X X X
POC 1.0 ‐ Non‐Renewal of Policy by Insured ‐ Change of Ownership
POC 2.1 & POC 3.0 ‐ Policy Non Renewed by Insured ‐ Change of OwnershipI 00‐60‐62 X X X
POC 1.0 ‐ Non‐Renewal of Policy By Insured ‐ Business Sold
POC 2.1 ‐ Policy Non Renewed by Insured ‐ Business SoldI 00‐60‐63 X X
POC 1.0 ‐ Non‐Renewal of Policy by Insurer ‐ Underwriting Discretion
POC 2.1 & POC 3.0 ‐ Policy Non Renewed by Carrier/Insurer ‐ Underwriting DiscretionI 00‐60‐64 X X X
POC 1.0 ‐ Non‐Renewal of Policy by Insured ‐ No Employees/No Exposure/No Operations
POC 2.1 & POC 3.0 ‐ Policy Non Renewed by Insured ‐ No Employees/No Exposure/No OperationsI 00‐60‐65 X X X
POC 1.0 ‐ Reinstate Policy
POC 2.1 ‐ Carrier/Insurer Reinstate PolicyI 00‐70‐01 X X X
©Copyright 2016 National Council on Compensation Insurance, Inc. All Rights Reserved
Reinstatement of Coverage
4